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UNIVERSITY HOSPITAL & CLINICS, INC.
DSH190044 ACADIA GENERAL HOSPITAL
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Covered Entity Details
Entity Name
ACADIA GENERAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH190044
Entity Address
1305 CROWLEY RAYNE HWY.
CROWLEY, LA 70526
Medicare Provider Number
190044
Participating Start Date
4/1/2011
Last Recertification Date
8/27/2024
Entity Termination Date
4/1/2025
Pharmacy Details
Pharmacy Name
UNIVERSITY HOSPITAL & CLINICS, INC.
Pharmacy Address
OUTPATIENT PHARMACY
2390 W CONGRESS ST
LAFAYETTE, LA 70506-4205
Pharmacy Comments
Contract Details
Approval Date
4/18/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Joseph Mitchell, CEO
(337) 788-6400
Contract Pharmacy Representative
Lafayette General
Logan Kelley, Director of Outpatient Pharmacy
(337) 266-4869
Signed By Date
4/18/2023
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